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Individual

MRS. STACI YOUNT

Active
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Individual

MRS. STACI YOUNT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, MS, OCS

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1140192
TX
2251X0800X
Orthopedic Physical Therapist
1140192
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0072920
BLUELINK
01
650025003
RR MC
01
8543250
AETNA
TX
01
86330T
BCBS
TX
Enumeration date
09/06/2005
Last updated
03/07/2024
About Stedi
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